Organization
LOTT FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE LOTT (PIC)
(731) 645-5556
Entity
Organization
Contact information
Practice address
844 MULBERRY AVE, SELMER, TN 38375-2334
(731) 645-5556
(731) 645-4420
Mailing address
PO BOX 1053, SELMER, TN 38375-1053
(731) 645-5556
(731) 645-4420
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6176
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175300
PK
—
05
—
Q045627
—
TN
Enumeration date
11/16/2017
Last updated
03/05/2026
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